Active NPI
William Demshok, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Miami, FL
National Provider Identifier
1801922927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 1504
- Practice address
- 900 NW 17TH St
Miami, FL 33136-1119 - Phone
- (305) 326-6170
- NPI assigned
- Feb 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 1504 | FL | Primary |
Addresses
Primary practice location
900 NW 17TH St
Miami, FL 33136-1119
Mailing address
5520 SW 78TH St
Big Unit C
Miami, FL 33143-5655
Phone (305) 665-8257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 1504 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801922927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 SW 78TH ST",
"address_2": "BIG UNIT C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331435655",
"telephone_number": "305-665-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NW 17TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361119",
"telephone_number": "305-326-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMSHOK",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 1504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.